Rep. Jennifer A. Kiggans

Maddy summaryThis bill (HR 1753) ensures 310+ female service members who served in specialized cultural support teams (2010-2021, identified by skill codes R2J/5DK) receive proper military records and veterans benefits. It requires the military to include this service in personnel records and count it as combat service for disability claims. Veterans denied benefits for injuries from this service can now file supplemental claims within three years of enactment, with claims treated as if filed on their original claim date. The bill also mandates VA outreach to inform affected veterans and families about this new process.

Maddy summaryThe America's Wildlife Habitat Conservation Act creates new funding mechanisms to support wildlife habitat conservation across the United States. It establishes a $300 million annual subaccount for states, territories, and the District of Columbia to restore habitat for species listed as threatened or endangered under federal or state law, and to prevent species from needing such listings, with at least 15% of funds dedicated to endangered species recovery. The bill also creates a $20 million annual account specifically for tribal wildlife conservation programs. Funds must be used for habitat restoration, species conservation, invasive species management, and must be tracked through annual reporting requirements to demonstrate effectiveness.

Maddy summaryThe MVP Act requires federal land management agencies to assess and improve accessibility at outdoor recreation facilities for military servicemembers and veterans. Within 5-7 years, agencies must conduct comprehensive assessments of trails and facilities, make accessibility information publicly available online, and develop at least 3 new accessible trails in each region of relevant agencies. The bill also establishes Military Veterans Outdoor Recreation Liaisons to coordinate implementation, mandates educational materials about accessible opportunities, and requires a national strategy to increase veteran visits to federal recreational lands. These provisions aim to improve physical accessibility and information availability for veterans seeking outdoor recreation opportunities on federal lands.

Maddy summaryThe FOCA Act of 2023 requires federal agencies to stop mandating or banning contractor agreements with labor organizations (like union contracts) in construction project bids and contracts. It directly affects federal contractors, subcontractors, and agencies managing construction projects funded by the government. The bill prohibits favoring or penalizing contractors based on their labor affiliation status, aiming to promote fair competition and reduce costs. It also mandates updates to federal contracting rules within 60 days of enactment to implement these changes.

Maddy summaryThe Pharmacists Fight Back Act (HR 9096) sets new rules for Pharmacy Benefits Managers (PBMs) working with federal health care programs like Medicare Part D and Medicaid. It requires PBMs to reimburse in-network pharmacies at a rate covering the drug's actual cost plus a small fee (capped at $25), and to reduce patient cost-sharing by at least 80% of rebates received from drug manufacturers. The bill bans PBMs from steering patients to specific pharmacies, charging patients more than pharmacies are paid, or using rebates to lower pharmacy payments after claims are processed. It also mandates public reporting of drug pricing data to improve transparency, ensuring patients and pharmacies receive fairer treatment under federal health programs.

Maddy summaryThis bill requires the Secretary of Health and Human Services to submit annual reports to Congress starting in 2026 about Medicare Part D's "monthly capped cost-sharing option." The reports must track how many seniors use this option (paying a fixed monthly amount instead of variable out-of-pocket costs for prescriptions), estimate how many might benefit but aren't using it, and detail outreach efforts to inform seniors. Key mechanisms include data on enrollment via point-of-sale systems, Medicare.gov, the "Medicare & You" handbook, and 1-800-MEDICARE. The bill does not change the benefit itself but mandates transparency to improve awareness of an existing Medicare Part D option for seniors.

Maddy summaryThis bill requires Medicare Advantage plans to implement electronic prior authorization systems by 2027 and publish detailed data on their approval and denial rates for medical services by 2026. It directly affects Medicare Advantage plans (private insurers offering Medicare coverage) and their enrollees (seniors 65+), mandating transparency about prior authorization decisions, processing times, and appeal outcomes. Key provisions include requiring plans to report annual statistics on request approvals/denials, average processing times, and use of technology, with this data published publicly by the Centers for Medicare & Medicaid Services. The bill also sets timelines for plan responses to prior authorization requests and mandates reports to Congress on implementation and impacts.

Maddy summaryHR 8018, the ABC Act, requires Medicare, Medicaid, CHIP, and Social Security Administration to review their eligibility processes, forms, and communications to simplify interactions for family caregivers. It targets reducing duplicate paperwork, improving website accessibility (including ADA compliance), and enhancing staff communication - such as shorter call waits and multilingual support - to better serve caregivers supporting individuals enrolled in these programs. The review must include input from caregivers and organizations, with results reported to Congress within one year. This procedural bill does not change program benefits but mandates systemic improvements to reduce administrative burdens.

Maddy summaryThis bill amends Medicare's Shared Savings Program rules to change how Accountable Care Organizations (ACOs) count primary care services toward their performance metrics. Starting in 2025, ACOs will include Medicare-covered primary care services provided by their participating doctors and providers in their quality and cost calculations. The change specifically applies to performance years beginning January 1, 2025, and affects ACOs participating in Medicare's Shared Savings Program. This adjustment modifies the technical criteria for ACOs to demonstrate value, directly impacting how they report and earn shared savings.

Maddy summaryThe Telehealth Modernization Act of 2024 extends Medicare's temporary telehealth coverage rules permanently, removing the previous 2024 expiration date. It expands who can provide telehealth services by allowing more healthcare professionals (like certain nurse practitioners) to bill Medicare for these services, and ensures Federally Qualified Health Centers and Rural Health Clinics can continue billing for telehealth under existing payment rules after 2024. The bill also explicitly permits audio-only telehealth calls for Medicare coverage and allows telehealth for hospice face-to-face visits and home dialysis assessments as clinically appropriate, without time limits. These changes directly affect Medicare beneficiaries, healthcare providers, and community health centers offering telehealth services.